Trustees of the University of Pennsylvania
Organization Active NPI Neonatal-Perinatal Medicine Physician · Philadelphia, PA
NPI 1972607257 · NPPES record last updated Jun 9, 2008
Key facts
- NPI
- 1972607257
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neonatal-Perinatal Medicine Physician 2080N0001X
- Legal business name
- TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
- Practice address
- 3400 Spruce St
8 Ravdin
Philadelphia, PA 19104-4206 - Phone
- (215) 662-3228
- Fax
- (215) 349-8831
- NPI assigned
- Sep 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Elizabeth Johnston
- Title
- Executive Director
- Phone
- (215) 662-7583
Practitioners 88
-
Soraya Abbasi, MD
-
Anne M Ades, MD
-
Tawia Ahwirema Apenteng, M.D.
-
Vaneeta Bamba, MD
-
David W Banner, MD
-
Lauren E Boyle, PA-C
-
Laura K Brennan, MD
-
Alisa Burnham, MD
-
Phyllis A Dennery, M.D.
-
Erika Dennis, M.D.
-
Bimal R Desai, M.D., M.B.I.
-
Michael Devon, MD
-
Summer Elshenawy, MD
-
Evan S Fieldston, M.D.
-
John Flibotte, M.D.
-
Cherie D Foster, MD
-
Samuel J Garber, MD
-
Sarah M Gawthrop, M.D.
-
Leonard M Golub, MD
-
Neera K Goyal, MD
-
Mary C Harris, MD
-
Kristine A Herrell, M.D.
National Provider Directory
Locations
824320 Box
Philadelphia, PA 19182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Genetics (M.D.) Physician |
207SG0201X | |||
| Pediatrics Physician |
208000000X | |||
| Neonatal-Perinatal Medicine Physician |
2080N0001X | Yes | ||
| Pediatric Cardiology Physician |
2080P0202X |
Addresses
Primary practice location
3400 Spruce St
8 Ravdin
Philadelphia, PA 19104-4206
Mailing address
3624 Market St
Suite 560W
Philadelphia, PA 19104-2614
Phone (215) 662-2286
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001258770 | Medicaid | PA | |
| 1013506 | Other | PA | KEYSTONE MERCY |
| 2Y22674 | Other | PA | HEATLHNET |
| CI1503 | Other | PA | RAILROAD MEDICARE |
| 12502 | Other | PA | HEALTHPARTNERS |
| 0794792000 | Other | PA | KEYSTONE |
| 502554 | Other | PA | AETNA |
| 706905 | Other | PA | BLUE SHIELD |
| 7160402 | Medicaid | NJ |
Other providers in Philadelphia, PA
- Trustees of the University of Pennsylvania
- Trustees of the University of Pennsylvania
- Trustees of the University of Pennsylvania
- Trustees of the University of Pennsylvania
- Trustees of the University of Pennsylvania
- Trustees of the University of Pennsylvania
- Trustees of the University of Pennsylvnia
- Trustworthy Home Care LLC
- TRX Opportunity LLC
- Inna Ruth Trygubchuk
All providers in Philadelphia, PA · Neonatal-Perinatal Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.